APP Clinical Manager

• Location Variable, New York, NY, 10024, United States
• Base Pay $ - $ / Year
• Job Category Clinical
• Employee Type FT Exempt

At Longevity Health
, we're dedicated to advancing healthcare through innovation, compassion, and excellence. We're looking for passionate individuals to join our team and help us make a difference. The individual holding this position is required to support and demonstrate their commitment to Longevity Health’s purpose:
To optimize the quality of life of people in long-term care by focusing on their individualized health needs.

* This role will support our Manhattan, Long Island and Westchester market

• Conduct rounds to each contracted nursing facilities on a regular basis to determine if contracted providers are delivering the Longevity Health Plan Model of Care and are meeting quality and regulatory standards.
• Conducts periodic review meetings with contracted nursing facilities to review clinical and quality results of their ISNP residents’ care, discuss successes and opportunities for improvement and to promote open communication.
• Reviews daily clinical performance metrics and takes action if not on target.
• Provides coaching and coverage for clinical team members as needed PTO and time away from work.
• Conducts hospitalization reviews and identify root causes and provides coaching and feedback to facilities as part of the monthly clinical review meeting as well as Advanced Practice Providers.
• Facilitates Advanced Practice Providers (APPs - NPs and PAs) onboarding, hiring and conducts facility and clinical orientation.
• Ensures team performance to targeted goals.
• Builds effective nursing facility relationships to foster LHP program success in the market.
• Works effectively with PCPs and other physicians.
• Ensures member care coordination activities are well managed including member transitions out of Nursing Facility to community care if needed.
• Escalates issues/concerns that may impact Longevity Health Plan reputation, contract compliance, relationships or any state/regulatory laws/regulations or employment law.
• Works closely with Plan medical director is determining how to enhance/ improve provider quality and appropriateness of care to LHP residents.
• Identifies learning needs of team and works with Director to address.
• Assists with Nursing Facility readiness assessments and ongoing education on Model of Care, and orientation.
• Completes HEDIS/STARs measures reports with APPs, and initiates actions.
• Maintain minimum weekly clinical update calls (currently much more frequent due to COVID) to facilitate interaction and information sharing with colleagues.
• Performs Chart audits as per MOC guidelines for Nurse Practitioners and provides feedback to APPs and MDCS if further interventions are needed for performance improvement.
• 1:1 with APPs on team and provides feedback to APPs, review APP scorecard and provides input on APPs performance appraisal to MDCS.
• Provides MOC oversight for all metrics and develops action plans for each metric and APP and provides education to APPs directly and follow- up to ensure compliance.
• Provides Coaching and 1:1 ACP Mentorship with RP/ family and Members ongoing.
• Provides daily coaching and case reviews with APPs on changes in condition and management of acute and chronic conditions to support Field APP practice.
• Provides APP member coverage for facility onboarding and PTO/sick time away from work as needed. Meets all APP job competencies.
• Provides oversight/coordination of prior authorizations.
• Facilitating MTM compliance and Communication to team of GAP reports.
• Initiates, tracks, updates APP employment requirements- TB test, Flu Shot, Licensure, Certification, DEA.
• Performs other related duties as assigned.

• Accomplishes department objectives by supervising staff and organizing and monitoring work processes.
• Maintains staff by recruiting, selecting, orienting, and training employees and developing personal growth opportunities.
• Accomplishes staff job results by coaching with Direction from MDCS.
• Plans, monitors, and appraises job results.
• Conducts training.
• Implements and…